Medical Coder

4 weeks ago

Bengaluru, India Optum Full time

Primary Responsibilities:

  • Test case creation and execution
  • Testing new features being developed to make sure the product is functionally & clinically viable
  • Testing clinical rules/patterns being developed to ensure the rule correctly captures the essence of the sourced clinical/medical guidelines
  • Ensure the product is compliant to the US Healthcare system
  • Work closely with the Business Analysts, medical/clinical coding experts to clearly understand the business requirement of feature or rules and then co-ordinate with the software developers, other team members & stakeholders to ensure the feature being delivered is clinically and functionally accurate
  • Create testing environments with special focus on replicating clients environment during defect research and fix
  • Provide accurate and timely estimates for tasks
  • Basic, structured, standard approach to work
  • Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so

Qualifications - Internal

Required Qualifications:

  • Graduate degree or equivalent experience
  • Clinical QE, understanding of US Healthcare system with medical coding experience to perform clinical and functional testing, medical coder
  • Knowledge of Quality Engineering best practices
  • Knowledge of the Agile methodology for delivering software solutions
  • Working knowledge of Oracle & SQL DB. Should be an AI User leveraging AI tools like ChatGPT for generating content and answering queries
  • Good understanding of US Healthcare system
  • Proven good analytical skills and client like testing mindset
  • Proven excellent verbal & written communication skills, problem solving and troubleshooting skills with focus on accuracy and attention to details
  • Knowledge of AI User leveraging artificial intelligence tools to streamline business processes and boost productivity. This role involves using applications such as ChatGPT for generating content and answering queries

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